Individual
DEBRA GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
116 W 23RD ST FL 5, NEW YORK, NY 10011-2599
(917) 780-2171
Mailing address
74 S PORTLAND AVE APT 1, BROOKLYN, NY 11217-1302
(347) 835-9603
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
002037-1
NY
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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